颅脑损伤脑疝合并失血性休克的急诊救治与影响因素

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Abstract ] Objective To analyze and judge the emergency treatment and influencing factors of craniocerebral hernia combined with hemorrhagic shock.Methods From February 2015 to January 2016,60 patients with cerebral hernia combined with hemorrhagic shock treated in our hospital were selected as the research objects.The emergency measures of different schemes were given according to the grade of shock and cerebral hernia.The effect of cerebral herniation on therapeutic effect were analyzed and compared.Results Among the 60 patients,7 cases died,the survival rate was 88.33%,the total effective rate of treatment was 70.00%.The total effective treatment rate of patients with cerebral hernia levelⅠ was higher than level Ⅱ and Ⅲ,the differences was statistically significant (P<0.05).The S100B protein concentration and neural function defect scale of patients with cerebral hernia levelⅠafter treatment were lower than the patients with level Ⅱ and Ⅲ,the difference was statistically significant (P<0.05).Conclusion The cerebral hernia level and operation method will affect the clinical curative effect and prognosis of patients after treatment.When the operation procedure is correct and no difference is made,cerebral hernia level is the main influence factor,it needs attention in clinic.

Key words： Glasgow outcome scale Craniocerebral hernia Hemorrhagic shock Survival rate

Received: 24 June 2017

PACS:

R651.1

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	Articles by authors
	XU Dong-sheng
	ZHANG Ye
	WANG Zhong-xiang

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XU Dong-sheng,ZHANG Ye,WANG Zhong-xiang. Emergency treatment and influencing factors of craniocerebral hernia combined with hemorrhagic shock[J]. 中国当代医药, 2017, 24(25): 26-28.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I25/26

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